A client with coronary artery disease is hospitalized with unstable angina. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?

Encourage active range of motion exercises.

Assist with ambulation in the hallway.

Provide a bedside commode for toileting.

Teach to sleep in a side lying position.

Answer and Explanation

The Correct Answer is C

A.   Range of motion exercises are important for overall mobility and prevention of complications from immobility. However, they can increase cardiac workload, especially if performed actively and without supervision.
B.   Ambulation, or walking in the hallway, increases cardiac workload and can exacerbate symptoms in a client with unstable angina. This activity should be minimized or restricted until the client's condition stabilizes. The focus should be on reducing activities that put additional stress on the heart.

C.   Using a bedside commode helps reduce the need for the client to walk to the bathroom, which can be physically demanding and increase cardiac workload. By minimizing the effort required for toileting, the client can avoid unnecessary physical strain.
D.   Sleeping in a side-lying position is not directly related to reducing cardiac workload. The client's position during sleep generally does not have as significant an impact on cardiac workload as other interventions.

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Correct Answer is B

Explanation

A. While neutrophils are involved in the immune response and wound healing, they are more indicative of an acute infection. An increased wound size suggests a worsening chronic condition rather than an acute infection.
B. C-reactive protein (CRP) is a sensitive marker of inflammation. An increase in CRP often accompanies worsening inflammation, such as an increase in wound size. Evaluating CRP levels would provide valuable information about the overall inflammatory state of the client.
C. Platelets are involved in blood clotting and wound healing, but they are not directly related to the overall inflammatory process or wound size.
D. These electrolytes are important for overall health, but they are not directly related to wound healing or inflammation.

A. Client describes a schedule for antacid use with other prescribed medications. B. Client selects a pattern of small meals alternating with fluid intake. C. Client expresses a willingness to reduce nicotine intake. D. Client agrees to participate in a variety of stress reduction techniques.

Correct Answer is B

Explanation

A. Client describes a schedule for antacid use with other prescribed medications: While antacids might be part of the management plan, they do not address the underlying issue of rapid gastric emptying.
B. This is the most relevant outcome for a client who has developed post-Billroth II dumping syndrome, characterized by nausea, diarrhea, and diaphoresis after meals. Small, frequent meals with fluid intake between meals can help regulate blood sugar levels and reduce the rapid emptying of stomach contents into the small intestine, which is a primary cause of dumping syndrome.
C. Smoking can affect overall health but is not directly related to dumping syndrome.
D. Stress management is important for overall well-being but does not directly address the physiological changes causing dumping syndrome.

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A client with coronary artery disease is hospitalized with unstable angina. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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